Comparison of ultrasound-guided transversalis fascia plane block and anterior quadratus lumborum block in patients undergoing caesarean delivery: a randomized study

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dc.authoriddost, burhan/0000-0002-4562-1172
dc.authorscopusid7003928585
dc.authorscopusid57204237827
dc.authorscopusid57220084376
dc.authorscopusid55440112000
dc.authorscopusid57041175000
dc.authorscopusid57795877300
dc.authorscopusid34168299200
dc.authorwosiddost, burhan/AAS-4788-2020
dc.contributor.authorBilgin, Sezgin
dc.contributor.authorAygün, Hakan
dc.contributor.authorGenç, Caner
dc.contributor.authorDost, Burhan
dc.contributor.authorTulgar, Serkan
dc.contributor.authorKaya, Cengiz
dc.contributor.authorSertoz, Nezih
dc.date.accessioned2024-08-25T18:46:04Z
dc.date.available2024-08-25T18:46:04Z
dc.date.issued2023
dc.departmentEge Üniversitesien_US
dc.description.abstractBackgroundCesarean section is becoming increasingly common. Well-managed postoperative analgesia improves patient comfort while encouraging early ambulation and breastfeeding. The analgesic efficacy of transversalis facial plane block (TFPB) vs. anterior quadratus lumborum block (QLB) was compared in this study.MethodsWe analyzed the data of 49 pregnant women (gestation, & GE; 37weeks; age, 18-45years) scheduled for elective cesarean delivery (CD) under general anesthesia. They were randomly divided into TFPB and anterior QLB groups. All blocks were administered bilaterally with 25mL of 0.25% bupivacaine under ultrasound guidance prior to extubation. Postoperative morphine consumption and numerical rating scale (NRS) pain scores (static and dynamic [during coughing]) were recorded at 1, 3, 6, 9, 12, 18, and 24h.ResultsThere was no difference in postoperative morphine consumption between the groups at the third, sixth, and ninth hours, but the anterior QLB group consumed less morphine at the 12th, 18th, and 24th hours. Except for the first hour, resting and dynamic NRS scores were comparable between the groups. The first-hour resting and dynamic NRS scores were lower in the TFPB group (resting NRS, anterior QLB group, median [interquartile range], 2 [2-3] vs. TFPB group, 2 [0-2], p = 0.046; dynamic NRS, anterior QLB group, median [interquartile range], 3 [2-4] vs. TFPB group 2 [0-3], p = 0.001).ConclusionsIn patients undergoing CD, anterior QLB decreased morphine consumption in the late period (9-24h) compared to TFPB, while pain scores were similar between both groups. The reduction in morphine consumption was statistically significant, but not clinically significant.en_US
dc.identifier.doi10.1186/s12871-023-02206-w
dc.identifier.issn1471-2253
dc.identifier.issue1en_US
dc.identifier.pmid37480008en_US
dc.identifier.scopus2-s2.0-85165316938en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1186/s12871-023-02206-w
dc.identifier.urihttps://hdl.handle.net/11454/101794
dc.identifier.volume23en_US
dc.identifier.wosWOS:001032238900002en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBMCen_US
dc.relation.ispartofBmc Anesthesiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240825_Gen_US
dc.subjectAnesthesiaen_US
dc.subjectAnalgesiaen_US
dc.subjectAnalgesicsen_US
dc.subjectCesarean sectionen_US
dc.subjectObstetricalen_US
dc.subjectOpioiden_US
dc.subjectNerve blocken_US
dc.subjectPain managementen_US
dc.subjectPostoperativeen_US
dc.subjectUltrasonographyen_US
dc.subjectPostoperative Analgesiaen_US
dc.subjectInjectate Spreaden_US
dc.subjectAbdominal-Wallen_US
dc.subjectIntrathecal Morphineen_US
dc.subjectSectionen_US
dc.subjectAnesthesiaen_US
dc.subjectPainen_US
dc.titleComparison of ultrasound-guided transversalis fascia plane block and anterior quadratus lumborum block in patients undergoing caesarean delivery: a randomized studyen_US
dc.typeArticleen_US

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